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132435584v2 <br /> <br /> <br /> B-2 <br /> <br />together with all prior requisitions, do not include amounts to pay issuance costs that exceed in <br />total 2% of the Bond Proceeds expected to be available to pay Project Costs. <br />I hereby further certify that: (a) the Borrower has expended $10,000,000 of equity (not <br />allocable to the Capital Campaign Pledges) to the Project, (b) the amount of Capital Campaign <br />Pledges on deposit in the Capital Campaign Account exceeds the amount of this Disbursement <br />Request, and (c) the Borrower has paid, in cash, at least an amount such that all remaining <br />unpaid Project Costs necessary to complete the Project do not exceed the amount of funds <br />available to be advanced by the Lender. <br />Capitalized terms used in this requisition and certificate and not defined herein shall have <br />the meanings assigned thereto in the Loan Agreement. <br />The following paragraph is to be completed when any requisition and certificate includes <br />any item for payment for labor or to contractors, builders or materialmen. <br />I hereby certify that insofar as the amount covered by the above requisition includes <br />payments to be made for labor or to contractors, builders or materialmen, including materials or <br />supplies, in connection with the Acquisition of the Project, (i) all obligations to make such <br />payment have been properly incurred, (ii) any such labor was actually performed and any such <br />materials or supplies were actually furnished or installed in or about the Project and are a proper <br />charge against the Project Costs, and (iii) such materials or supplies either are not subject to any <br />lien or security interest or, if the same are subject, such lien or security interest will be released <br />or discharged upon payment of this requisition. <br /> <br />_______________________________________ <br />Borrower Representative <br /> <br /> <br /> <br />APPROVED this ____ day of __________, _____. <br /> <br />BREMER BANK, NATIONAL <br /> ASSOCIATION, as Lender <br />By: <br />Name: <br />Title: